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Efficacy of facilitative interpersonal and relational skills training for teletherapy: A randomized controlled trial.
Journal of Consulting and Clinical Psychology ( IF 4.5 ) Pub Date : 2025-01-06 , DOI: 10.1037/ccp0000934
Tao Lin,Timothy Anderson,Eva Antebi-Lerman,Jordan Bate,Katie Aafjes-van Doorn

OBJECTIVE Therapists report a lack of confidence and competence in teletherapy compared to in-person therapy. Training focusing on teletherapy skills is scarce. This study reports on (a) the development of a training workshop for facilitative interpersonal skills (FIS) in teletherapy (tele-FIRST) and (b) a randomized controlled trial assessing the efficacy of tele-FIRST. Tele-FIRST is a 2-hr online synchronous training workshop that incorporates didactics, deliberate practice, simulation of teletherapy challenges, modeling, and discussion. METHOD A set of tele-FIS stimulus clips that depict four types of teletherapy challenges (e.g., emotional disconnection, distraction) was used to evaluate and train therapists' teletherapy skills. A total of 182 licensed therapists and trainees were randomized into either the tele-FIRST or a waitlist group. Of these, 153 participants completed baseline assessment and were included in the final analyses (tele-FIRST: n = 82; waitlist: n = 71). At baseline, posttraining, and follow-up, participants were assessed on their observer-rated FIS for teletherapy, self-reported FIS, teletherapy skills, acceptance of teletherapy, and self-efficacy. RESULTS Therapists demonstrated increased teletherapy skills following the tele-FIRST workshop. After controlling for baseline scores, the tele-FIRST group demonstrated significantly higher observer-rated tele-FIS (ηp² = .134), self-reported FIS (ηp² = .106), teletherapy skills (ηp² = .037), acceptance of teletherapy technology (ηp² = .082), and self-efficacy (ηp² = .036) compared to the waitlist group at posttraining. CONCLUSION The tele-FIRST demonstrated significant short-term effects on enhancing therapists' teletherapy skills as rated by both independent observers and therapists themselves. Tele-FIRST may improve the quality of teletherapy, though more research is needed to investigate its long-term effects. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

中文翻译:


远程治疗的促进性人际关系和关系技能训练的有效性:一项随机对照试验。



客观 与面对面治疗相比,治疗师报告说对远程治疗缺乏信心和能力。专注于远程治疗技能的培训很少。本研究报告了 (a) 远程治疗中促进人际交往技能 (FIS) 培训研讨会 (tele-FIRST) 的开发,以及 (b) 评估远程 FIRST 疗效的随机对照试验。Tele-FIRST 是一个 2 小时的在线同步培训研讨会,包括教学法、刻意练习、远程治疗挑战模拟、建模和讨论。方法 一组描述四种远程治疗挑战(例如,情绪断开、分心)的远程 FIS 刺激剪辑用于评估和培训治疗师的远程治疗技能。共有 182 名获得许可的治疗师和实习生被随机分配到 tele-FIRST 或候补名单组。其中,153 名参与者完成了基线评估并被纳入最终分析(tele-FIRST:n = 82;候补名单:n = 71)。在基线、训练后和随访中,对参与者的远程治疗观察员评定的 FIS、自我报告的 FIS、远程治疗技能、远程治疗的接受度和自我效能感进行评估。结果 治疗师在 Tele-FIRST 研讨会后表现出更高的远程治疗技能。在控制基线分数后,远程 FIRST 组表现出显着更高的观察者评分远程 FIS (ηp² = .134)、自我报告的 FIS (ηp² = .106)、远程治疗技能 (ηp² = .037)、远程治疗技术的接受度 (ηp² = .082) 和自我效能 (ηp² = .036) 与训练后候补名单组相比。结论 根据独立观察者和治疗师本人的评价,Tele-FIRST 对提高治疗师的远程治疗技能具有显着的短期影响。 Tele-FIRST 可能会提高远程治疗的质量,但需要更多的研究来调查其长期影响。(PsycInfo 数据库记录 (c) 2025 APA,保留所有权利)。
更新日期:2025-01-06
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